Organization Active NPI

Shelat Enterprise Incorporated

  • Community/Retail Pharmacy
  • Murrieta, CA
National Provider Identifier
1023107703
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46937 Issued in CA
Legal business name
SHELAT ENTERPRISE INCORPORATED
Doing business as
PROCARE PHARMACY
Practice address
25060 Hancock Ave Ste 101
Murrieta, CA 92562-5959
Phone
(951) 304-2038
Fax
(951) 304-2068
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vijay Stelat, PHARMACIST
Title
Pic
Phone
(951) 304-2038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46937 CA Primary

Addresses

Primary practice location

25060 Hancock Ave Ste 101
Murrieta, CA 92562-5959

Mailing address

25060 Hancock Ave Ste 101
Murrieta, CA 92562-5959
Phone (951) 304-2038

Other identifiers 2

IdentifierTypeStateIssuer
PHA469370MedicaidCA
2005078OtherPK

Other names 1

  • PROCARE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000853 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8921022831 Practice locations: Murrieta, CA

National Provider Directory

National Provider Directory

Locations

25405 Hancock Ave
Ste 100
Murrieta, CA 92562
Phone (951) 304-2038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1023107703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25060 HANCOCK AVE STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625959",
            "telephone_number": "951-304-2038",
            "fax_number": "951-304-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25060 HANCOCK AVE STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625959",
            "telephone_number": "951-304-2038",
            "fax_number": "951-304-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELAT ENTERPRISE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "STELAT",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "951-304-2038",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA469370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2005078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.